I started Estrelle duet 6 monyhs ago am currently on 2 mg, i still suffer symptoms although a lot milder than they werre, these include poor sleep (usual is 4.5 hours) joint and muscle pain, fatigue, fluid retention and bloating absolutely no sex drive, vaginal atrophy (i have ovistan cream for this) bleeding gums and allergies. All of these symptoms started 3.5 years ago after getting Mirena coil fitted for heavy periods for 3 months after 6 months of no periods. I am 46 now so all really started just before turning 43. The fatigue and lack of sex drive is bothering me tje most, i have an hrt review with gp coming up and was going to ask for trial of testosterone cream and have an appointment to get Mirena removed as i found research which listed some of my symptoms could come from Mirena. Has anyone experienced this or know if there is anything else i can try or ask dr for?